RUFINO F CRISOSTOMO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

RUFINO F

Last Name

CRISOSTOMO

Business Name

RUFINO F CRISOSTOMO

Original Issue Date

02/18/1987

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/01/2017